Diane Carol Ryan, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010846 Issued in NY

Practice address

55-77 Schanck Rd
Ste B-11
Freehold, NJ 07728-2964

Phone

(917) 402-7237

Fax

(732) 414-2489

NPI assigned

Sep 24, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monmouth Schroth Scoliosis Physical Therapy LLCGroup PAC ID 8820357577, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monmouth Schroth Scoliosis Physical Therapy LLC

  • Physical Therapist
  • Freehold, NJ
  • NPI 1033639976
  Medicare reassignment Care Compare group Authorized official
• Bridgeview Physical Therapy, P.C.

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1730305087
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1508966177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 LONDON ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282723",
            "telephone_number": "917-402-7237",
            "fax_number": "732-414-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-77 SCHANCK RD",
            "address_2": "STE B-11",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "917-402-7237",
            "fax_number": "732-414-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "DIANE",
        "middle_name": "CAROL",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010846",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01639500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Russo, D.C.
• Francesca Russo
• Tyler J Russo, DC
• RX Prime Inc (Provision Pharmacy)
• Ryan Fields Total Health and Wellness LLC
• Richard Robert Ryan
• Bonnie Ryder
• Alexandra Sacco
• Zubaida Sadik, M.D.
• Doreen Sadowski, DVM

• Physical Therapist in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.